Patient Forms


Iowa Pediatric Dental Center isn’t just a dentist office. It’s a place children look forward to visiting and where parents are just as comfortable as the patients. We make sure healthy always comes with a big dose of happy.

Please choose your location to complete your new patient registration paperwork.

Waiting room policy:

Parents in treatment area policy: We welcome one parent to come back per patient. Bear in mind, some patients do better without mom or dad in the treatment room. Your child may be better able to focus on treatment instructions. Plus, this gives the dentist, hygienist and your child a chance to form a trusting relationship.